KATHERINE SHAW BETHEA HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****55

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KATHERINE SHAW BETHEA HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/11/2024

Expiration Date

03/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2025